# Co-Designed Online Training Program for Worry Management: The Role of Young People With Lived Experience of Worry in Program Development

## TL;DR

This paper describes the development of an online training program for managing worry, co-designed with young people who have personal experience of worry.

## Contribution

The novel contribution is the co-design process involving young people with lived experience in all stages of developing a scalable, accessible online worry management program.

## Key findings

- Young people emphasized the need for a simple, personalized, and accessible platform with a sense of community.
- Ease of navigation, interactivity, and personalized reminders were identified as key to user engagement.
- Technical issues were a barrier, and future features like reward systems were suggested to improve engagement.

## Abstract

Many young people report high levels of worry, highlighting the need for interventions that teach strategies to help them shift focus away from worry. To maximize uptake by this population, interventions should be brief and accessible; to maximize dissemination, they should have potential for delivery at scale. We produced a multisession, online training program, Shift Focus, co-designed with young people with lived experience of worry. The online training program was accessed via a mobile app. In this paper, we describe how Lived Experience Advisory Panel (LEAP) members were involved in each stage of the process of developing the Shift Focus online training program, from refining session content through to designing and testing the online training program prototype.

We aimed to engage with young people with lived experience of worry, to help refine, further develop, and tailor a new online training program designed to help shift focus away from worry.

We recruited LEAP members (aged 16‐25 y) with lived experience of worry from diverse backgrounds across the United Kingdom. We used a highly iterative participatory design process, such that LEAP members provided input during all 4 phases of program development: refining and further developing session content, piloting sessions, developing user experience design, and testing the online training program prototype.

Feedback from LEAP members during each phase of the online platform development informed key decisions regarding the platform content, functionality, and the interface design to ensure it suited our target population. In phase 1, we learned that the platform needed to be simple and aesthetically pleasing, personalized to individual needs and preferences, accessible to all, track progress, and provide individuals with a sense of community with others with similar lived experiences. In phase 2, we learned that the platform also needed to provide further guidance on how to apply the Shift Focus techniques to daily life, using personalized reminder settings. In phase 3, we additionally learned that ease of navigation and interactivity were key to maintaining user engagement. The importance of program tracking was reiterated, as well as the need for accessibility settings to support all learning styles. In phase 4, we identified that technical problems with the online platform were a barrier to engagement. The inclusion of future iterations (eg, reward systems) to help promote engagement was suggested by LEAP members in multiple phases.

LEAP members brought unique expertise and made key contributions to the development of the Shift Focus online training program and were highly valued members of the team. A highly iterative participatory design process enabled continuous feedback from LEAP members throughout, ensuring that their input was meaningful and that their key messages and ideas were incorporated into the final program.